<!DOCTYPE html>
<html xmlns:th="http://www.w3.org/1999/xhtml">
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
<div class="wrapper wrapper-content ">
    <div class="row">
        <div class="col-sm-12">
            <div class="ibox float-e-margins">
                <div class="ibox-content">
                    <form class="form-horizontal m-t" id="signupForm">
                        <div class="form-group">
                            <label class="col-sm-2 control-label">支付渠道：</label>
                            <div class="col-sm-4">
                                <select id="outChannel" name="outChannel" class="form-control">
                                    <option value="">请选择</option>
                                    <option th:each="outChannel:${outChannels}" th:value="${outChannel.key}"
                                            th:text="${outChannel.value}"></option>
                                </select>
                            </div>
                            <label class="col-sm-2 control-label">手续费率：</label>
                            <div class="col-sm-4">
                                <input id="costRate" name="costRate" class="form-control" type="number" value="0"
                                       max="0.03"
                                       readonly
                                       min="0"
                                       maxlength="6" required="required">
                            </div>

                        </div>
                        <div class="form-group">
                            <label class="col-sm-2 control-label">订单号：</label>
                            <div class="col-sm-4">
                                <input id="accountNo" name="accountNo" class="form-control" type="text" maxlength="60">
                            </div>
                            <label class="col-sm-2 control-label">卖家旺旺昵称：</label>
                            <div class="col-sm-4">
                                <input id="accountName" name="accountName" class="form-control" type="text"
                                       maxlength="60">
                            </div>
                        </div>
                        <!--<div class="form-group">-->
                            <!--<label class="col-sm-2 control-label">有效时长：</label>-->
                            <!--<div class="col-sm-4">-->

                                <!--<input id="status" name="status" class="form-control" type="number"-->
                                       <!--maxlength="20" min="1" max="23">-->
                            <!--</div>-->
                            <!--<label class="col-sm-2 control-label">金额：</label>-->
                            <!--<div class="col-sm-4">-->
                                <!--<input id="money" name="money" class="form-control" type="number"-->
                                       <!--maxlength="20" min="1" max="100000" >-->
                            <!--</div>-->
                        <!--</div>-->

                        <div class="form-group">
                            <label class="col-sm-2 control-label">二维码字符串：</label>
                            <div class="col-sm-10">
                                <input id="qrs" name="qrs" class="form-control" type="text" maxlength="1024">
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-2 control-label">备注信息：</label>
                            <div class="col-sm-10">
                                <input id="memo" name="memo" class="form-control" type="text" maxlength="50">
                            </div>
                        </div>
                        <div class="form-group">
                            <div class="col-sm-10 col-sm-offset-2">
                                <button type="submit" class="btn btn-primary">提交</button>
                            </div>
                        </div>

                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
<div th:include="include::footer"></div>
<script type="text/javascript" src="/js/md5.min.js"></script>
<script type="text/javascript" src="/js/appjs/pay/payQrConfig/add.js">
</script>
<script>

</script>
</body>
</html>
